Organization
MEDLAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARSHADULLAH SYED (PRESIDENT)
(630) 677-5272
Entity
Organization
Contact information
Practice address
35 GAYLORD ST, ELK GROVE VILLAGE, IL 60007-1104
(847) 979-8184
(847) 979-8284
Mailing address
35 GAYLORD ST, ELK GROVE VILLAGE, IL 60007-1104
(847) 979-8184
(847) 979-8284
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
14D1071933
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14D1071933
CLIA
IL
01
—
215612
MEDICARE
IL
Enumeration date
08/30/2007
Last updated
08/16/2023
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